Organization Active NPI

Slavin Chiropractic

  • Chiropractor
  • Vineyard Haven, MA
National Provider Identifier
1780987628
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3056 Issued in MA
Legal business name
SLAVIN CHIROPRACTIC
Practice address
455 State Rd
Unit 12
Vineyard Haven, MA 02568-5695
Phone
(508) 696-1863
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dardanella Slavin, DCNPI 1487613584
Title
Owner
Phone
(508) 696-1863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3056 MA Primary

Addresses

Primary practice location

455 State Rd
Unit 12
Vineyard Haven, MA 02568-5695

Mailing address

455 State Rd
PMB 133
Vineyard Haven, MA 02568-5695
Phone (508) 696-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110312000069 MA Part B Supplier - Clinic/Group Practice 2264614262 Receives reassigned benefits from 2 practitioners
Practice locations: Vineyard Haven, MA

National Provider Directory

National Provider Directory

Locations

455 State Rd
Vineyard Haven, MA 02568
Phone (508) 696-1863

455 State Rd
Unit 12
Vineyard Haven, MA 02568
Phone (508) 696-1863

455 State Rd
Unit 11
Vineyard Haven, MA 02568
Phone (508) 627-3600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1780987628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 STATE RD",
            "address_2": "PMB 133",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685695",
            "telephone_number": "508-696-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 STATE RD",
            "address_2": "UNIT 12",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685695",
            "telephone_number": "508-696-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAVIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "DARDANELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-696-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.